| New Hope Community Services | |
|
133 W Michigan Ave Suite 103 Ypsilanti MI 48197-5550 | |
| (734) 680-0721 | |
| Not Available |
| Full Name | New Hope Community Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 133 W Michigan Ave, Ypsilanti, Michigan |
| Authorized Official Name and Position | Shaquita Jenene Easley (THERAPIST) |
| Authorized Official Contact | 7346800721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Community Services 8500 Lawrence Ave Ypsilanti MI 48197-9329 Ph: (734) 544-1447 | New Hope Community Services 133 W Michigan Ave Suite 103 Ypsilanti MI 48197-5550 Ph: (734) 680-0721 |
| NPI Number | 1437456696 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 02/23/2011 |
| Medicare PECOS PAC ID | 1557808094 |
|---|---|
| Medicare Enrollment ID | O20240801004459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437456696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801092622 (Michigan) | Primary |
| Provider Name | Shaquita J Easley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508147489 PECOS PAC ID: 4284171729 Enrollment ID: I20240801004488 |
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